Getting the Best from your Reablement Service Julia Howells-Clinical Specialist OT Reablement Service London Borough of Tower Hamlets [email protected] Who we are… Tower Hamlets is typically known as ‘The East End’ home to Canary Wharf, Brick Lane and Spitalfields. One of the most culturally diverse boroughs in London. with 18 different ethnic groups represented on 2011 census. Over the last 10yrs the population has been one of the fastest growing in the country and it is set to rise by 20% over next 10 years Over a quarter of a million residents living within just under 8 sq. miles. Our Ethos Giving people who may be limited by their health and/or mental health condition an opportunity to: Relearn life skills Rebuild confidence Help facilitate and consolidate existing abilities and build on own resources Enable and promote a healthy lifestyle that is relevant to the individual. Customer Journey Access Points First Response Hospital Community CLDT CMHT LT-OT LTS BYPASS Reablement LTSSupport Planning Personal Budget Value of OT OT is deeply embedded into service practice and infrastructure. Our OT service is at the forefront of integration with staff from both a health and social care backgrounds. ManagerOT Clinical Lead OT OT SW OT SW OT SW Band 7-OT OT OT *Admin Snr IP-OT *IP IP IP IP IP Reablement Officers *Admin support 1.5wte *IP=Independence Planner/Supervisor with assessor function Nurse Advisor Assessor staff Value of OT The Reablement processes and workflows have been designed by OT keeping person centred care, choice and control at the heart of assessment and intervention. How we compare to CSED targets As a service we are comparing well in all CSED target areas and exceeded primary target by 10% re: users exiting the service without longer term needs. 5 CSED Targets 4 Tower Hamlets Results 3 2 1 0% 10% 20% 30% 40% 50% 60% 70% Case Outcomes Percentage of cases closed to Reablement with no on-going support needs 2% cases closed without long term support needs 9% cases progressed with long term support needs 26% 63% cases client withdrew from Reablement cases expired Summary For cases going through for support planning, the average package costs approx £4,600. That is equivalent to: 3hrs of personal care a week ½ day of social inclusion with access provided 7x hot meals a week. Outcome measures used Non-standardised assessment tool developed specifically for the service Positive outcomes survey User satisfaction survey Discovery interviews Pre/Post Costing exercise Overcoming challenges Culture of dependency and high expectation re: service provision Limited public and stakeholder awareness regarding the service we provide Staff skill set, knowledge base and competency required intense input Duplication of effort/resources across services (i.e. community rehab) What the future holds… Reviewing assessment tool and outcome measures in-line with new Care Act 2014. Greater integration between health and social care including public health. Improving efficiency in line with budget challenges. Reablement outreach programmes- proactive preventative approach. Thank you!